Individual
DR. EJIRO ESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8170 MAPLE LAWN BLVD STE 150, FULTON, MD 20759-2564
(240) 245-0540
(240) 554-2532
Mailing address
2720 S ARLINGTON MILL DR UNIT 711, ARLINGTON, VA 22206-3409
(240) 245-0540
(240) 554-2532
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401412336
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13248
MD
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DEN1000408
DC
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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